Cosmetic gynecology—a systematic review and call for standardized outcome measures

Garcia, Bobby; Scheib, Stacey A.; Hallner, Barry; Thompson, Nia; Schiavo, Julie; Peacock, Lisa M.

doi:10.1007/s00192-020-04294-5

Cited by 26 publications

(17 citation statements)

References 63 publications

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“…Such methods are popular for vaginal rejuvenation due to their minimal intervention and short duration (around 8-30 minutes) [5]. Energy-based treatments seem to benefit mild-to-moderate symptoms, such as dyspareunia, and no major complications were reported [5,18]. FDA advisory argues that further scientific evidence is needed to verify their exact effect since the simplicity of the process does not necessarily assure safety [19].…”

Section: Energy-based Treatmentsmentioning

confidence: 99%

“…Minimally ablative fractional laser therapy gained popularity due to its accuracy, safety, and effectiveness for skin remodeling and regeneration. Laser-based vaginal rejuvenation is a minimally invasive method for improving sexual dysfunction in cases of vaginal laxity [1,3,18]. In general, a focused light beam is produced at a specific wavelength, selected to affect a chosen molecule [3].…”

Section: Lasersmentioning

confidence: 99%

“…Lasers lead to enhancement of postmenopausal epithelium, vascular and collagen growth, especially type 1 collagen, and increase vaginal tightness [3,5,21]. Further studies need to be conducted to determine the optimal number of sessions and the ideal time intervals between them [18].…”

Section: Lasersmentioning

confidence: 99%

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Office Procedures in Cosmetic Gynaecology

Anagnostou

Gkrozou

Ioannidi

et al. 2021

COGO

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Female genital cosmetic surgery is a set of multiple procedures focused on improving genital appearance, structure, and function. Sexual dysfunction affects a large proportion of the female population and appears to be associated with distorted genital anatomy although what women perceive as normal varies vastly depending on cultural and social beliefs. Cosmetic gynaecology office procedures are simple, quick, and effective solutions to improve sexual function as well as body image with minimal interventions and minimal side-effects. In this narrative review, we present these widely used minimally invasive aesthetic gynaecology interventions, focusing on their efficacy, and reported complications. Recommendations regarding heath professionals’ approach and ethical issues arising are also discussed.

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Section: Energy-based Treatmentsmentioning

confidence: 99%

Section: Lasersmentioning

confidence: 99%

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Office Procedures in Cosmetic Gynaecology

Anagnostou

Gkrozou

Ioannidi

et al. 2021

COGO

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“…These indications not only affect sexual well-being of women but deteriorate the overall quality of life [3,4] . Cosmetic gynecology procedures enable pelvic floor toning and regain the integrity of the tissues, hence, giving an opportunity to women to achieve a better quality of life through increased comfort and sexual confidence [9] . Table 1 lists cosmetic gynecology procedures in practice.…”

Section: Introductionmentioning

confidence: 99%

Cosmetic Gynecology: Present and Future Perspectives

Mishra

Mihai²,

Khurana³

et al. 2021

ijirms

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Postmenopausal women and events like childbirth, and aging may cause structural and functional changes in women genitalia. The arising indications do not only cause psychological distress to women but negatively affect the sexual well-being and deteriorate the quality of their lives. Regenerative/ cosmetic gynecology procedures enable women to treat the functionality issues and modify the physical structure of vagina. This review discusses the latest developments in this field with regards to various kinds of procedures that are available, particularly the use of energy-based devices, and adipose tissue derived stem cells therapy for fat grafting which have revolutionized the regenerative gynecology procedures. These offer non-invasive modalities to treat the conditions like urinary incontinence among others which occur in high prevalence among women. Despite the advancements made in this field, it lacks regulatory guidelines and standardized procedures which imposes one of the biggest challenges of the field. Alongside, we have documented a procedure called Intimacell® which has been standardized for fat grafting procedures in vulvovaginal region.

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“…However, crucially we are still lacking accurate data about the number of procedures performed globally, the surgical outcomes and patient satisfaction post-surgery; information needed to fully apprise women and clinicians about FGCS. 23 Foremost, as women's health advocates, we also need to ensure we continue to address the underlying issues by campaigning for improved sexual health education programs in schools, gender equality, diverse media representation of women's bodies including genital anatomy and strong media/ advertising codes of conduct.…”

mentioning

confidence: 99%